Buele, Jorge
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Buele, Jorge
Main Affiliation
Ambato
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jorgebuele@uti.edu.ec
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Scopus Author ID
57200380202

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Ethical and Social Challenges in Virtual Reality: A Bibliometric Analysis

2024 , Buele, Jorge , Homero J. Velastegui , Avilés-Castillo, Fátima , Hugo Paz-León , Guillermo Palacios-Navarro

Virtual reality has revolutionized human interaction with digital environments, creating immersive simulations that have significantly impacted sectors such as education, urban planning, and mental health. Along with its transformative potential, VR presents ethical and societal challenges. This study analyzes trends in research addressing these challenges, focusing on articles published through 2023 in the Web of Science database. Visual and statistical analyses reveal a sustained increase in publications since 2013. Patterns in authorship and collaboration networks emphasize the global and interdisciplinary nature of VR research. Dominant themes include the metaverse and therapeutic applications, as well as concerns about data privacy, virtual identity representation, and psychological effects such as cybersickness. Research highlights temporary symptoms such as nausea and eye strain associated with immersive systems, demonstrating the need for ergonomic design and age-specific usage guidelines. Furthermore, active video games using VR have shown promise in promoting physical activity, offering innovative solutions to combat sedentary lifestyles. Looking ahead, efforts must prioritize equitable access, user safety, and robust ethical frameworks to ensure the responsible and sustainable integration of VR technologies.

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Immersive Virtual Reality Application for the Evaluation of Depression in Older Adults

2026 , Buele, Jorge , Varela Aldas, José , Labre Tarco, Verónica

Although evidence supports the use of virtual reality for cognitive assessment in the older adult, studies on the assessment of mental disorders such as depression are scarce. Previous studies show satisfactory results in the young adult population, but further analysis is needed in the geriatric population. This research analyzed the ability of a virtual reality application to assess levels of depression in older adults, analyzing the correlation between demographic variables and performance on the application. Fourteen older adults with an age of 74.86 (5.4) participated in the study. Demographic variables, depressive symptoms were evaluated, and Spearman correlation tests were performed to analyze the relationship between age, schooling and performance in the application. The research reveals a significant association between age and task execution time, indicating that the older the age, the longer it takes to complete the task. A correlation is identified between schooling and the number of errors, highlighting that more education does not guarantee the absence of errors. Although no direct correlation was found between level of depression and application performance, the promising utility of virtual reality in this area, supported by recent studies, is underscored. The study contributes to the understanding of how virtual reality applications can be valuable in the assessment of mental health in older adults. Although limitations such as sample size are acknowledged, the results establish a foundation for future research. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2026.

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Effects of a dual intervention (motor and virtual reality-based cognitive) on cognition in patients with mild cognitive impairment: a single-blind, randomized controlled trial

2024 , Buele, Jorge , Avilés-Castillo, Fátima , Carolina Del-Valle-Soto , Varela Aldas, José , Guillermo Palacios-Navarro

Abstract Background The increase in cases of mild cognitive impairment (MCI) underlines the urgency of finding effective methods to slow its progression. Given the limited effectiveness of current pharmacological options to prevent or treat the early stages of this deterioration, non-pharmacological alternatives are especially relevant. Objective To assess the effectiveness of a cognitive-motor intervention based on immersive virtual reality (VR) that simulates an activity of daily living (ADL) on cognitive functions and its impact on depression and the ability to perform such activities in patients with MCI. Methods Thirty-four older adults (men, women) with MCI were randomized to the experimental group (n = 17; 75.41 ± 5.76) or control (n = 17; 77.35 ± 6.75) group. Both groups received motor training, through aerobic, balance and resistance activities in group. Subsequently, the experimental group received cognitive training based on VR, while the control group received traditional cognitive training. Cognitive functions, depression, and the ability to perform activities of daily living (ADLs) were assessed using the Spanish versions of the Montreal Cognitive Assessment (MoCA-S), the Short Geriatric Depression Scale (SGDS-S), and the of Instrumental Activities of Daily Living (IADL-S) before and after 6-week intervention (a total of twelve 40-minutes sessions). Results Between groups comparison did not reveal significant differences in either cognitive function or geriatric depression. The intragroup effect of cognitive function and geriatric depression was significant in both groups (p < 0.001), with large effect sizes. There was no statistically significant improvement in any of the groups when evaluating their performance in ADLs (control, p = 0.28; experimental, p = 0.46) as expected. The completion rate in the experimental group was higher (82.35%) compared to the control group (70.59%). Likewise, participants in the experimental group reached a higher level of difficulty in the application and needed less time to complete the task at each level. Conclusions The application of a dual intervention, through motor training prior to a cognitive task based on Immersive VR was shown to be a beneficial non-pharmacological strategy to improve cognitive functions and reduce depression in patients with MCI. Similarly, the control group benefited from such dual intervention with statistically significant improvements. Trial registration ClinicalTrials.gov NCT06313931; https://clinicaltrials.gov/study/NCT06313931.

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